| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.10 | $238.77 | $336.45 | |
Aetna
| Professional | $83.06 | $113.72 | $230.55 | |
Ambetter
| Professional | $123.20 | $151.05 | $151.05 | |
Anthem BCBS
| Professional | $94.45 | $148.50 | $264.95 | |
Cigna
| Professional | $114.46 | $179.95 | $310.44 | |
Harvard Pilgrim
| Professional | $113.54 | $212.95 | $393.28 | |
Optum
| Professional | $108.25 | $152.06 | $177.70 | |
United
| Professional | $151.33 | $213.26 | $327.77 | |
Well Sense
| Professional | $79.29 | $112.45 | $150.18 |